let's begin with suzanne malveaux on capitol hill. >> reporter: good morning, alisyn. house republicans taking the first key step toward fulfilling a promise to the american people by passing the health care plan in the house. this is far from over. it is the first step to turning the legislation into law. >> i think we will get it through. mitch mcconnell knows how to do things. >> reporter: the republican effort to repeal and replace obamacare. now in the hands of the senate with the bill that narrowly passed in the house. >> the bill is passed. >> reporter: faces an uphill battle. >> it could change. it could get better. >> reporter: senators are not in a hurry. vowing to do things their way. >> mr. president, i'm sorry to disappoint you. the bill in its current form is not getting through the senate. no way. >> the senate will write its own bill. >> i don't think the house bill necessarily predicts.

>> reporter: the legislation passed in the house. eliminates the tax penalty for americans who choose not to buy insurance. replaces the subsidy offered under obamacare with tax credit and rolls back medicaid expansion starting in 2020. it increases the limit on what insurers can charge older enr l enrolle enrollees. they can charge more for pre-existing conditions. among those who lost the most, those with pre-existing conditions and elderly and low-income americans. the healthy and middle and upper class stand to benefit. ♪ hey, hey >> democrat s taunting republicans after the vote. >> soof you have said they fix it in the senate. you have every provision of this

bill tattooed on your forehead. you will glow in the dark on this one. >> reporter: senator lindsey graham says it should be viewed with caution because it was rushed through the house without cost estimate. >> we should have had a cbo. i don't always agree with cbo. frequently i disagree. we should still have assessment from them. >> reporter: some house republicans admitting they have not read the legislation before voting yes. >> i will admit wolf. i did not. my staff did. >> i would be dishonest if i said i read it all. that is why we have a legislative staff. >> reporter: something paul ryan blasted democrats in 2009. >> we should not pass bills we have not read. we should not rush this through. >> reporter: the congressional budget office is expected to come up with the score in two weeks or so. then the senate process will

take the process. they say the process will not be rushed. they will go ahead and it will be deliberative and look for areas of compromise. once that is done, it goes back to the house where the debate starts all over again. chris. >> suzanne, it is nice they will do it twice. president trump taking a victory lap. riding high off what is perceived as a legislative victory and declaring obamacare dead. he has people scratching heads after the vote. what were those? cnn's jeff zeleny has that. >> good morning, chris. president trump is waking up at the golf course in new jersey after spending a little more than four hours in new york city laf last night. it was the first visit since taking office. he did not stop at home and welcomed by protesters. he did arrive with the sense of satisfaction. one of the biggest campaign program i promises is closer to reality.

president trump savoring a victory. the servifirst legislative win e presidency. a new era of confidence after house republicans united to repeal and replace obamacare. >> republicans came together all of a sudden two days ago and it was like magic. they came together. they are united. >> reporter: the president meeting with australian prime minister malcolm turnbull. >> premiums will come down substantially. the deductibles will come down. it will be fantasticing health care. >> reporter: the president making this remark. >> i shouldn't say this to our gentleman and friend from australia. you have better health care than we do. >> reporter: democrats say australia has universal health care. >> mr. president, you are right. in australia and every other major country on earth, they have guaranteed health care for

all people. they don't throw 24 million people off health care. >> reporter: after taking an i am victory lap in the rose garden. >> we will get this passed through the senate. i feel confident. >> reporter: presidential promises on health care can be hard to keep. ask president obama. >> if you like your doctor, you can keep your doctor under the reform proposals we put forward. if you like your private plan, you can keep it. >> reporter: under his watch, democrats lost control of the house and senate. largely over health care. the question voters will ultimate decide is trump-care better than obamacare? >> suffered with obamacare. i went through two years of campaigning and i'm telling you no matter where i went, people were suffering. >> reporter: the president basking in the moment.

vindication from failing to pass the bill more than a month earlier. >> how am i doing? i'm president. can you believe it? >> reporter: now the president has no public events on his schedule today as he breathes a sigh of relief. there is an uphill battle. a white house official says the president learned a lesson from the process and plans to be more personally involved in the next phase. the reality is now he owns the reshaping of the american health care system. it is on him. the policy and the politics. >> jeff, thank you very much. we obviously have a lot to discuss. let's bring in our panel to help make sense. we have analyst ron brownstein and maggie haberman and april ryan. with all of the last minute arm twisting, now the battle begins for the senate.

now what happens? >> the senate indicated it is paying no mind to what the house passed yesterday. they are starting over. they have been holding a number of meetings the last couple weeks led by senator ted cruz to get a bill that is acceptable. they are very unhappy with what has come before. when you are essentially starting from scratch after the process over the last month and a half in the house, this is not reconciliation. this is not the normal process we are used to. this is two separate tracks on health care. it is a reminder why washington has expectations. watching the president take the victory lap. this is a president who loves winning and important for the white house. it is all it was. psychic victory. >> a win in quotes. that is what it is. the politics are less relevant, ron brownstein, in the senate.

it is more policy driven. just because the absolute numbers. for every ted cruz, you have ted in the house versus one in the senate. the policy approach is almost completely opposite. the senators are concerned about what happens to the needy and those who made up the trump base than the house. >> absolutely. a set of different considerations. first of all, a win in the house in the sense of the alternative was a clear loss . if this bill failed, it was be dysfunction and harmful. now the victory in quotes is they debate a bill for weeks with a 17% approval rating in the public before they elimin e eliminated the nationwide guarantee for people with pre-existing conditions. there are two key issues in the senate. the first is that idea of all allowing states to opt out of the nationwide assurance for people with pre-existing

conditions. hard to see that getting through. the people in the house voted for a controversial idea that is unlikely to see the light of day. the other perhaps bigger is the question of the medicaid expansion. you have in the end after initial resistance a number of states with republican governors that did expand medicaid. in many case, the beneficiaries, like ohio, are concentrated among the lower older income wid whites who are republicans. it will be very difficult for republican senators from states like ohio or nevada or even arkansas to vote for anything like the $880 billion in medicaid cuts in the house bill. >> here is what is it in, april, as far as we know. let's put this up here for viewers to try to understand it. we start with what is out. the individual mandate. the employer mandate. these were not popular ever with republicans. the subsidy for out of pocket

money. medication ex-expansion. the eventual benefits. mental health and addiction services and pre-existing conditions policy will be up to the states. what is in is the kids staying on parents coverage until you are 26. >> one thing you have is by replacing the subsidy with a tax credit. 2,000 to 4,000. you are hit for income levels. it is decidedly less money and less absolute than what is there now. a lot of individuals work as a group at their place of work. they are not allowed to take the tax credit with them. they have to get a policy individually. they cannot pool all of the credits at the employer base. that is what the lawmakers wanted. they wanted to show savings. they got the big number of

savings. >> how do you see it, april? >> you know, the question is is it a savings? we are waiting for the sbo report and find an estimate. i talked to senators and well as house members last night. they were saying look, this is born on the backs of the most vulnerable and elderly and poor and the most vulnerable. people with pre-existing conditions. originally when they first started when president trump was campaigning and talking about the problems and ills of the affordable care act or obamacare. the white house acknowledged the obama administration said there needs to be tweaks. one of the key pieces was the issue of the high deductibles. now it is more so and other things changed. people are now dealing with the fact that as you said, mental health and substance abuse and maternity and pre-existing

conditions are possibly going to be opted out of states getting waivers and they will possibly have to pay more. it just does not marry. you go from one issue to the next and you still do not have a cbo score. we have to wait and see how this plays out. the senate will definitely start from scratch and rebuild this because right now, as you see, the lawmakers on recess. they will hear yay or nay. >> this is a clear case of competing interest, maggie. the cbo score. it will show a big cost savings. no question about that. they took the taxes off certain businesses. off high end individuals. >> adding to the deficit or debt. >> it depends. how you want to play with the numbers. we are reducing all of the benefits. we keep the costs down. we use that number to motivate tax policy.

you get what april said. at whose expense? that is when the senators have to make a decision. when i go back home in my district. even someone like joe manchin, they he need medicaid money there. what will you tell them? i saved a lot of money, just not for you. >> there is a reason you saw tom cotton at town halls getting screamed at my constituents about the need to maintain the obamacare version of the law. there is a reason you have not seen tom cotton pushing this through. take that as a case study. you look at the house members. moderates and swing districts worried about the mid terms and walked the plank for a bill that likely will not end up looking like this by the time it is done if it gets reconciled at all. you will now have months of republicans arguing over this.

this is important. you had the republican party looking like it could not move from being the opposition party to being the governing party. this was a hurdle in the minds of congress and the gop and white house. this is coming at a potential cost. >> ron. >> can i add two points to maggie's point? and where there are republican senators places like ohio and iowa and arkansas and west virginia and indiana. a majority of people who gain coverage under the law were non college whites. the core of the modern republican could legislation. the second point if you look who voted for the bill. many republicans in competitive swing seats in the house were forced to vote for it in the end. in the end, 23 house

republicans. nine of them voted against the bill. in california, all seven of the house republicans in districts that clinton cared voted for the bill in the end. in a state that is democratic, that makes california ground zero in the battle for the house in 2018. there is a big gamble by house republicans. broad everybody meer measure. 46 voted for the bill. all of them moved up on the target list. >> we will talk more about that shortly. panel, stick around. >> and april ryan's point. when we come back, 50% of you are like us. you get health care through work. you don't care about what just happened. wrong. we will take you through who wins and who loses here and what

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president trump and republicans are a step closer to getting rid of obamacare. touting the american health care act. passing in the house was a major victory. who were the winners and who were the losers? let's bring back ron brownstein and maggie haberman and april ryan. let's put up winners. younger americans. middle and upper class and healthy people. a lot of the taxes went away for the upper class. and healthy people. you can get a cheap plan that doesn't cover as many things. maggie, we will get to losers in a second. how powerful is the base of winners in terms much negotiating in the senate? >> it is not as powerful as the losers list. i don't mean to swing too

quickly. the winners list is benefitting new york and california. big cities with lots of wealthy people. when you talk about the drivers of the president's base and a lot of these swing districts in the house and some of these as ron was saying. those are poorer folks and working class folks. those are the people for whom obamacare was designed to help. essentially this bill which the president keeps saying was a huge improvement of obamacare, does the opposite. you have an interesting moment when he met with the perimetrim minister of australia and glowing about the health care bill passage and said in australia, you have better health care. >> they have universal health care. >> obamacare is not universal, but it is closer than this. >> he was touting that as the model or something as great. >> this is a bill that has made

several people make statements on the record. among them the president. he will not be reelected for another couple years if he runs. it will put a lot of members on congress in the next year and a half in a difficult spot for the reasons we just said. >> now look at the losers. april said we can spell it out. low income people. older americans. some of the folks who voted for president trump. people with pre-existing conditions and planned parenthood. this is interesting. april, as you know, the democrats were just short of claiming a victory in the budget resolution. planned parenthood wasn't touched there. here funds for planned parenthood are cut. >> for a year. >> at the moment for the year. what do you think in terms of the political calculus of why the president and republicans would take this risk when much of that is their base? april. >> you know, chris and

alisyalisyn -- >> we're the same person. >> no, you're not. you know the saying, all politics are local. for this, politics is personal. as one of your guests said it is not just about democrats or republicans. it is everyone. people are affected and including a large portion of the president's base. he has every day people on the fringe for a long time. a lot of these people have pr pre-kppre pre-existing conditions and are older. when you look at planned parenthood, they will be losers as well. i think the american people who need trumpcare will be losers. if this comes to pass, it doesn't look like it in the senate, on the face of this, the public who use trumpcare would lose. >> ron brownstein, how this is absorbed by the markets.

you think health care company stocks would pop on this news. you think it would be a banner day. if you look at the futures markets, they probably priced in we have to see what happens in the senate. that is where the battle is won or lost. >> chris, if it went through, you have 24 million fewer people purchasing health care. what you had in the plan is extraordinary convergence of opposition from all of the varied interests in the health care industry. everyone from the ama and the doctors to the hospitals to the aarp representing older americans to the insurance industry. all coming out against different aspects of the bill. opposing it. look, the senate is not likely to pass anything exactly like this. on the other hand, you know, the question will be how much do they roll back obamacare if they can find 50 votes at all.

for example, if they don't cut medicaid by nearly as much as the house which is talking about $880 billion reduction and 24 million people still on the program. i don't think people who supported the obamacare should view the fight is over for sailed into safe waters. there is still possibility of significant changes in the law. >> maggie, it can't be all bad. that doesn't make political sense. 2018 mid terms are just around the corner. it doesn't make political sense. are you saying they are just hanging their hat on we kept a campaign promise regardless of the fallout? >> i would say that is a major piece. i spoke to voters in poorer areas and working class areas and rural areas. there were some who relied very happily on obamacare. others said premiums skyrocke d

skyrocketed. they where angry. that is the driver. the reason why republicans campaigned against this for three consecutive cycles. part of this is we are going to stick to this. the other piece however is that is the only reason you are doing something, you have to take the equity into consideration. there are a lot of equity on both sides in this case. i think the other thing and i can't state this enough. it was important in the minds of some in the white house to get this through the house because it was creating a log jam for other legislative priorities. once the president would not drop it for a variety of reasons, they felt like they had to get this done. >> april ryan, we said during the tease, people at home said i get my insurance through my employer. i don't have to worry i about it. what this house bill would do if it stays consistent in the senate is free the individual

employers from the mandates as well in terms of what they have to cover. they could pick any states coverage even if they are not headquartered there or if they don't have business in the state and mimic those. they could reduce what they cover and how much contributions employees have to make. right? >> yes. most definitely. what happens federally sends a rip the effect throughout the private sector. trumpcare and obamacare recipients. they wind up being the example for private industry and insurance. many of us who are not on obamacare or aca or trumpcare, are worried as well. think about this. many americans have pre-existing conditions. we talked about this before. many americans are a nation with numbers that are getting higher

in age. people are living longer. that's something we have to worry about as you get older. am i paying more when i'm trying to pull back? this has a ripple effect on private insurance industries as well. those who are not involved in trumpcare. again, this is very personal for a lot of people. >> april, ron, maggie, thank you all very much. have a great weekend. we have to discuss the different aspects of effect here. coming up on "new day." we talk about it with governors. they have been left out of the con varg conversation. all this choice. is that true? you have one from each side of the aisle. both have been active. terry mcauliffe and governor hutchinson. we also have senator tim kaine and mark sanford.

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all right. we have historic flooding which

is devastating the midwest. levees are failing in northeast arkansas. we will have the governor on later this morning. the rising in mississippi and missouri rivers raising fears of levee breaches in missouri. we have sfhave cnn's dan simon missouri. hard hit when water comes over the levee. everybody knows it takes a long time to pump it back out, dan. >> reporter: chris, it has been a very difficult several days. this area has gotten pummeled by rain. the nearby merrimack river has spilled into the communities. you can see sand bags which people are using to keep the areas dry. the good news is you can see the water level behind me which is beginning to recede. you see some people actually have pumps out trying to get the water out. also, the sky is clear this

morning. the forecast this weekend is supposed to be good. that is good news. just north of st. louis where the mississippi river and missouri river converge. there is concern that area has not crested yesterday. folks watching that closely. alisyn. thank you, dan s. . cnn has the latest on the forecast. chad? >> alisyn, we have 27 rivers in flood stage or still going up. as dan was saying, cape girardeau. 48.5 feet. the rivers are still rising south of the bubble of water is located. the heavy rain is gone. the heavy rain in louisville for the kentucky oaks day. that rain moves away. it moves into new york state and pennsylvania and dubois state college.

you could see 2 to 3 inches. it is not 12 inches, but it is mountaino mountainous. you could get flash flooding. a cool raw weekend because of the cloud cover and rainfall. we will take it compared to what they are seeing in the midwest. chris. >> true. we will take rain if true disaster is moving away from other people. check back in with you. if the gop health care bill becomes law, what does it mean to you? whether you are on medicaid or individual market or through your employer. dr. sanjay gupta has done the homework for you. what you need to know next. new roundup for lawns has arrived to put unwelcome lawn weeds to rest. so draw the line. roundup for lawns is formulated to kill lawn weeds to the root without harming a single blade of grass. draw the line with roundup for lawns.

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so much of the focus of the gop health care bill is the political moves behind it. what does it mean for you? we have dr. sanjay gupta with more. what does it mean for doctors? do doctors like this?

>> it is tough to paint the medical community with one brush. if you look at the statements released by the medical organizations, they were not in favor of the acha. they felt too many people would lose health insurance. that is the concern from the medical organizations. i should point out if you look at the grade they gave the aca, obamacare, 5% or fewer gave that plan an "a" grade. >> when it first came out or today? >> over the last year. >> they are not satisfied with obamacare. this is no fix to them? >> that is right. they were not happy with the current system. they did not think this was the right direction to go. >> let's take it to the extreme. what we are hearing in support is we had to do something. obamacare is dying under its weight. it's in a death spiral. is that true? >> what they are predicating this on is the idea that you need to have young healthy people sign up for the system to pay for the system.

that was the whole thinking from the start. they were saying it is in a death spiral because not enough healthy young people were signing up. they would rather face the penalty than sign up. that is a little bit true. it was gaining in popularity over the last year. the expectation is you have enough to pay for the system. now what you have is a system with no mandate whatsoever. people don't have to sign up. how do you balance it? how do you pay for people if the other population is not signing up? that's the question. >> what's the answer? >> i don't know. it seems like a lot of costs stripped away. nearly $1 trillion out of medicaid over ten years. you have the idea of increased competition lowering costs. allowing people to buy across state lines. various things they say will help pay for it ultimately. wait and see. >> a phenomenon in government where people are often against services they benefit from. they hear about the cost

savings. they think it reduces the tax burden. they like it. then they realize they were getting a form of subsidy they did not know about. now you go into what will happen next and what changes might be made. what are you looking for in terms of priorities in the senate that were not in place in the house? >> the biggest one for a lot of people is the pre-existing condition thing. to explain that. they essentially have turfed this decision to the states. they said the states can basically decide. apply for a waiver not to provide absolute protections for those with pre-existing conditions. before it was federal. you could not discriminate against people with pre-existing conditions. now to the states and you can get a waiver. you have to let your insurance lapse for 63 days. if they do that, they are vulnerable and they lose protection. those are the people who gain the most out of the affordable care act.

they stand to lose the most. 117 million people have some sort of chronic disease. this is not a small number we're talking about. this is a significant number. for those people, it is hard to get insurance. it was hard to get insurance. it could become hard again. >> sanjay, if you had a magic wand, what is the one thing you would fix before throwing the baby on the wiut wlith the bath? >> you have a certain percentage of the population that is responsible for most of the health care costs in the country. a small percentage. fewer than 10%. there are people you might expect. diabetes and heart disease and chronic disease. i think hyper targeting that population and making sure they get great health care and home visits so they don't get sick and progress would be the big fix. >> that is a huge point. one of the arguments for the high risk pool is relatively it

is a small slice. as sanjay is pointing out, they pay the most. what do we do to help those people? we will do less. sanjay, i appreciate it. a rivalry is heating up in the playoffs. wizards and celtics. you saw that. here it comes. bringing the pain. highlights in the bleacher report next. that was the strongest elbow. you might not ever just stand there, looking at it. you may never even sit in the back seat. yeah, but maybe you should. ♪ (laughter) ♪ we're on the move.

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made daily life a guessing game. will i have pain and bloating today? my doctor recommended ibgard to manage my ibs. take control. ask your doctor about nonprescription ibgard. did you see the celtics and wizards game last night? things are getting chippy. andy scholes has the bleacher report and the mystery chest bump that sent a celtic flying ten feet. >> i don't know what was better. acting. isaiah thomas said we don't like them and they don't like us. that was clear in game three. celtics kelly lays out ubree jr. he knocks him off his feet. he was ejected from the game for that. there were eight technical fouls

and three ejections total in this one. the wizards get the emotional 116-89 win to get back in the series. game four is sunday night. get your giant hats and mint juleps ready. the running of the kentucky derby. always dreaming and classic empire are favorites right now. look out for the one-eyed horse named patch. he has one eye. post time is 6:34 eastern tomorrow night. patch actually drew the 20th post. he will be on the very outside, alisyn. that is interesting. if he jumps out to a good start, he potentially would not see any of the other horses in the field since he has his right eye. he would look at the grandstand. >> in ththat is an advantage. one-eyed horse is king. andy, thank you.

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all right. now it is all in the hands of the senate when it comes to your health care. many there, including gopers, are rejecting the house bill out of hand. saying they will craft their

own. how does that measure currently in states? joining us by phone is virginia governor terry mcauliffe. they have weather issues. they have power outage in the studio. he jumped on the phone. governor, it is important to get your voice. so many proponents of the bill say this is what the governors wanted. we are giving them more choice on medicaid. they keep leaving out they are taking out the money you used to be getting. define the issue. >> this is the bait and switch they tried to play. we will give you more flexibili flexibility. we will put it back in your hands. they take billions much doll s away from the states. i have two key concerns. number one, they did it with no idea of the impact to people financially and how it effects health. they did this without any scoring by the cbo.

i never heard of something done like this before. we don't know how many people are effected. we don't know the human cost will be or the financial cost. to take a vote without these answers is totally and morally and fiscally irresponsible. let's be clear. when they cap it back to the states, they cut funding for us. in virginia, we had 400,000 individuals who have health care who have been part of obamacare. these people are now going to be in jeopardy. they will endanger people who have pre-existing conditions. they will cut essential health benefits. they weaken our ability to keep our residents healthy and economically competitive. i don't think this will see light of day in the senate. it was disheartening to watch. i just got back last night from the trade mission from mexico. i got back last night and turned on the tv. having a big beer party celebrating what they did. people are going to lose lives. people are going to lose health

coverage and they think this is fun and a party? as a governor, we worry about our citizens. we worry they stay healthy. we could be economically competitive and compete on a global basis. with republicans in congress is weaken our ability to stay financially and competitively strong in the global marketplace. they put people's lives in jeopardy. >> the other side says that's what the aca did. a lot of states did not take the medicaid ex-expansion. the aca is one. aetna is p pllanning to leave virginia. >> i tried to get medicaid expansion. chris, we forfeited $10.4 billion. we get all of the money back. we pay it. i could have provided health care for 400,000 virginians and created 50,000 new jobs.

shored up the state. 31 states took it. majority were republican governors, including michael pence, the indiana governor. john kasich from ohio. majority of states were republican governors. they were supportive of it, chris. that is a false argument. many of my legislature said to me i would vote for it tomorrow, governor. if i do, i lose my tea party primary. our job is to create jobs and booming economy and have great education and health care. congress takes actions that fall on our desk. they are not responsible for jobs every day. we are. it is fiscally and morally irresponsible. they are bringing in cases and cases of beer to have a party. come down here to virginia. go to one of the health clinics with me. go out to southwest virginia

where people are hurting out there. they need health care. this is what it is about. this is a disservice to citizens. >> what do you say about the idea the aca was collapsing under its own weight. it is in a death spiral. they used your state an example aetna pulling out. >> did we have to work on aca to make it stronger? everybody was in agreement. both sides. we have a system where millions have health care coverage today. work on the system and make it stronger. by going in and taking an axe and cutting the system. they are talking about slashing $800 billion, chris, from medicaid 8$800 billion. we should have made it stronger. what they are doing is they put people's lives in jeopardy. people will die if this becomes

law of the land. we should be helping people and making our states competitivcom. i want to compete. i want a healthy work force to do it. republicans are doing nothing. this administration from day one from the federal hiring freeze to the travel ban to the immigration policies have done nothing but hurt states ability to compete. >> what do you say to governors like asa hutchinson? i have a hybrid in my state. you do need to save money. this current plan did not work the right way. i'm asking for a cut to go to 100% of poverty versus 138. we don't need that bloat. >> chris, if you are a single woman with two children in virginia, you have to make less than $6,200 a year. you want me to cut it to $5,000 a year? chris, this is about people's

lives. this is benefitting and helping people. a single woman less than $6,200 with two children. come on. get real. stop the politics. do what is right. build a strong economy. keep our folks healthy. we have a lean system. in fact, we have one of the leanest systems in all of america. i don't have room to cut. that's the problem with the per cap. i can't go back and cut. do i tell the single woman i'm taking it down to $5,000 a year? these are real people and real numbers and unfortunately the rhetoric of political campaign has come in and it will do grave daerpg danger to the country. >> governor, thank you for calling in. be safe. >> thank you, chris. >> thank you, sir. per cap. that means per capita. they have choices. you can get money on individual basis or block grant. you will get less. thanks to you our international viewers for